Adrenal neoplasms range from asymptomatic cysts to fatal carcinomas with a prevalence of 3% to 6%. Benign adrenal tumours dominate and outnumber malignant ones which include pheochromocytoma, adenoma, myelolipoma, and simple cysts. The most common malignant adrenal tumours are adrenocortical carcinoma, neuroblastoma, and metastasis from other organs malignant tumours.1 Considering the variant pathological views of adrenal tumours and their varying clinical symptoms, we evaluated the clinicopathological features of adrenal tumours and its management at King George Hospital/Andhra medical college, Visakhapatnam, a tertiary care center over 3 years period.